Dinusson, Jacquelyn F
Dinusson, Jacquelyn F is an individual health care provider with primary practice located at 1350 S Sunny Slope Rd Sunnyslope Primary Care Clinic, Brookfield WI 53005-7025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dinusson, Jacquelyn F can be contacted via phone (414) 805-9600.Contact Information
Primary practice address
1350 S Sunny Slope Rd Sunnyslope Primary Care Clinic
Brookfield WI 53005-7025
Phone: (414) 805-9600
Fax: (414) 805-9659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43683 | Wisconsin |
Profile Details
| NPI number | 1649221722 |
|---|---|
| LBN Legal business name | Dinusson, Jacquelyn F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jun 27th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649221722 | NPPES |
| Wisconsin | MEDICAID | 34151400 | |
| Wisconsin | Other | 005806261S |
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